diabetestalk.net

What Causes Kussmaul Respirations In Dka?

Share on facebook

Demonstration on how to count respirations (respiratory rate) on an adult which is an important nurse and nursing assistant skill. In this video, I explain how to calculate a respiratory rate, assessment of respiratory rhythm (inspiratory and expiratory phrases) and breathing effort by the patient (dyspnea). Remember a normal adult respiratory rate is 12-20 breaths per minute (bpm). Subscribe: http://www.youtube.com/subscription_c... "Nursing Skills Videos": https://www.youtube.com/playlist?list... Nursing School Supplies: http://www.registerednursern.com/the-... Nursing Job Search: http://www.registerednursern.com/nurs... Visit our website RegisteredNurseRN.com for free quizzes, nursing care plans, salary information, job search, and much more: http://www.registerednursern.com Check out other Videos: https://www.youtube.com/user/Register... Popular Playlists: "NCLEX Study Strategies": https://www.youtube.com/playlist?list... "Fluid & Electrolytes Made So Easy": https://www.youtube.com/playlist?list... "Nursing School Study Tips": https://www.youtube.com/playlist?list... "Nursing School Tips & Questions": https://www.youtube.com/playlist?list... "Teaching Tutorials": https://www.youtube.com/playlist?list... "Types of Nursing Specialties": https://www.youtube.com/playlist?list... "Healthcare Salary Information": https://www.youtube.com/playlist?list... "New Nurse Tips": https://www.youtube.com/playlist?list... "Nursing Career Help": https://www.youtube.com/playlist?list... "EKG Teaching Tutorials": https://www.youtube.com/playlist?list... "Personality Types": https://www.youtube.com/playlist?list... "Dosage & Calculations for Nurses": https://www.youtube.com/playlist?list... "Diabetes Health Managment": https://www.youtube.com/playlist?list...

Symptoms Of Kussmaul Respirations: Its Causes And Treatment

Kussmaul respiration is an abnormal pattern of respiration characterized by deep and hurried breathing. It is one of the most distinctive feature of diabetic ketoacidosis, a serious metabolic complication of diabetes with associated dysfunction of kidneys. Kussmaul breathing causes low level of carbon dioxide in the blood. When the acid content in the blood increases as in metabolic acidosis, diabetic acidosis, or kidney failure, there is increased desire by the patient to breathe deep and rapidly. As a result carbon dioxide saturation in blood decreases. In the beginning, it is shallow and rapid respiration, however, as the condition worsens, it leads to rapid and fast breathing. The patient seems to be gasping for air. This type of abnormal breathing is called Kussmaul respiration. What Causes Kussmaul Respirations? Kussmaul breathing is a condition which results from low level of carbon dioxide in blood. This abnormal form of respiration is commonly seen in people having diabetic ketoacidosis. Kussmaul respiration is deep and fast breathing. Deep breathing and rapid exhalation causes low level of carbon dioxide in the blood leading to hyperventilation. Following conditions can c Continue reading >>

Share on facebook

Popular Questions

  1. SVL

    So I understand this to be deep rapid respirations, as part of the signs of DKA. It's a result of the acidosis, and a need for air... so the body rapidly tries to expel CO2.
    Right?
    So... how on earth do you treat the respirations? I do understand you would need to treat the acidosis, but the question on my study guide says to know how to treat Kussmaul's Respirations.
    A class mate told me with a brown paper bag? That doesn't seem complicated enough to me, and I can't find anything in my book about it.

  2. Guest

    You have to treat the acidosis first and if that doesn't correct it--Intubation. I don't know Sarah usually when they get to that point they are on their way out.

  3. BlueRidge

    Your classmate is confusing Kussmaul's with hyperventalation, which is caused by breathing too deeply and/or quickly. Hyperventalating leads to the UNINTEDED loss of of too MUCH CO2, leading to dizziness and tingling of extremities. That treatment IS the brown paper bag or breathing into cupped hands to rebreath in more CO2. This occurs with overexcitment or during labor with controlled breathing patterns (like Lamaze).
    As you said, Kussmaul's is an attempt to reverse metabolic acidosis by blowing off Bicarb as a compensatory effort. These are spontaneous and under autonamic control, so you can NOT "treat the respirations" any more than you can help a patient "control" full blown labor contractions or autonamic dysreflexia in a pt with spinal cord injury.
    So, as TNN said, the treatment is to control the underlying metabolic issue with meds, fluids, mechanical oxygenation if needed. Th pH has to brought up to a level compatable with human life.

  4. -> Continue reading
read more
Share on facebook

In this video we present a patient with DKA who is exhibiting the Kussmaul breathing pattern associated with metabolic acidosis.

Kussmaul Breathing - An Overview | Sciencedirect Topics

Nicholas J. White, in Manson's Tropical Infectious Diseases (Twenty-third Edition) , 2014 Hyperventilation or Kussmaul's breathing (sometimes termed respiratory distress) is a poor prognostic sign in malaria. In the tachypnoea associated with high fever, breathing is shallow compared with the ominous laboured hyperventilation associated with metabolic acidosis, pulmonary oedema or bronchopneumonia. Acute pulmonary oedema (acute respiratory distress syndrome) may develop at any time in severe falciparum malaria. It is particularly common in pregnant women, but rare in children. In some cases malaria ARDS may be difficult to distinguish clinically from pneumonia. The heart sounds are normal. The central venous pressure and pulmonary artery occlusion pressures are usually normal, the cardiac index is high and systemic vascular resistance is low. This points to an increase in capillary permeability (unless the patient has been overhydrated). The chest radiograph shows increased interstitial shadowing and a normal heart size. Julian L. Seifter, in Goldman's Cecil Medicine (Twenty Fourth Edition) , 2012 Symptoms include nausea, vomiting, anorexia, polydipsia, and polyuria. Patients ofte Continue reading >>

Share on facebook

Popular Questions

  1. RedhairedNurse

    Your nursing text should point out the difference. I would tell you, but I'd just have to look it up and my books are in storage. I could also google it, but something you can also do as well. Sorry.

  2. RedhairedNurse

    http://books.google.com/books?id=aLt...um=9&ct=result

  3. Ilithya

    In HHNS, blood sugar levels rise, and your body tries to get rid of the excess sugar by passing it into your urine, your body tries to compensate. This usually happens to type 2s
    In DKA there is little to no circulating insulin. DKA occurs mainly, but not exclusively, in Type 1 diabetes because Type 1 diabetes is characterized by a lack of insulin production in the pancreas. It is much less common in Type 2 diabetes because the latter is closely related to cell insensitivity to insulin, not -- at least initially -- to a shortage or absence of insulin. Some Type 2 diabetics have lost their own insulin production and must take external insulin; they have some susceptibility to DKA. You get acidosis in DKA because ketones lower the bloods pH.
    Does that help?

  4. -> Continue reading
read more
Share on facebook

DKA diabetic ketoacidosis nursing management pathophysiology & treatment. DKA is a complication of diabetes mellitus and mainly affects type 1 diabetics. DKA management includes controlling hyperglycemia, ketosis, and acdidosis. Signs & Symptoms include polyuria, polydipsia, hyperglycemia greater than 300 mg/dL, Kussmaul breathing, acetone breath, and ketones in the urine. Typically DKA treatment includes: intravenous fluids, insulin therapy (IV regular insulin), and electrolyte replacement. This video details what the nurse needs to know for the NCLEX exam about diabetic ketoacidosis. I also touch on DKA vs HHS (diabetic ketoacidosis and hyperosmolar hyperglycemic nonketotic syndrome (please see the other video for more details). Quiz on DKA: http://www.registerednursern.com/diab... Lecture Notes for this video: http://www.registerednursern.com/diab... Diabetes NCLEX Review Videos: https://www.youtube.com/playlist?list... Subscribe: http://www.youtube.com/subscription_c... Nursing School Supplies: http://www.registerednursern.com/the-... Nursing Job Search: http://www.registerednursern.com/nurs... Visit our website RegisteredNurseRN.com for free quizzes, nursing care plans, salary information, job search, and much more: http://www.registerednursern.com Check out other Videos: https://www.youtube.com/user/Register... Popular Playlists: "NCLEX Study Strategies": https://www.youtube.com/playlist?list... "Fluid & Electrolytes Made So Easy": https://www.youtube.com/playlist?list... "Nursing Skills Videos": https://www.youtube.com/playlist?list... "Nursing School Study Tips": https://www.youtube.com/playlist?list... "Nursing School Tips & Questions": https://www.youtube.com/playlist?list... "Teaching Tutorials": https://www.youtube.com/playlist?list... "Types of Nursing Specialties": https://www.youtube.com/playlist?list... "Healthcare Salary Information": https://www.youtube.com/playlist?list... "New Nurse Tips": https://www.youtube.com/playlist?list... "Nursing Career Help": https://www.youtube.com/playlist?list... "EKG Teaching Tutorials": https://www.youtube.com/playlist?list... "Personality Types": https://www.youtube.com/playlist?list... "Dosage & Calculations for Nurses": https://www.youtube.com/playlist?list... "Diabetes Health Managment": https://www.youtube.com/playlist?list...

Diabetic Ketoacidosis (dka)

A 12 year old boy, previously healthy, is admitted to the hospital after 2 days of polyuria, polyphagia, nausea, vomiting and abdominal pain. Vital signs are: Temp 37C, BP 103/63 mmHg, HR 112, RR 30. Physical exam shows a lethargic boy. Labs are notable forWBC 16,000,Glucose 534, K 5.9, pH 7.13, PCO2 is 20 mmHg, PO2 is 90 mmHg. result of insulin, glucagon, growth hormone, catecholamine increased tidal volume and rate as a result of metabolic acidosis due to gluconeogenesis and glycogenolysis tissues unable to use the high glucose as it is unable to enter cells anion gap due to ketoacidosis, lactic acidosis consumed in an attempt to buffer the increased acid glucose acts as an osmotic agent and draws water from ICF to ECF acidosis results in ICF/ECF exchange of H+ for K+ depletion of total body potassium due to cellular shift and losses through urine -hydroxybutyrate not detected with normal ketone body tests due to in capillary lipoprotein lipase activity H2PO4- is increased in urine, as it is titratable acid used to buffer the excess H+ that is being excreted must prevent resultant hypokalemia and hypophosphatemia labs may show pseudo-hyperkalemia prior to administartion of fluid Continue reading >>

Share on facebook

Popular Questions

  1. digitaldoc2002

    A Cool MNEMONIC for Rx/ Mgt in COPD

  2. toothhornet88

    Pretty Cool links for mnemonics

  3. -> Continue reading
read more

No more pages to load

Related Articles

  • What Is The Significance Of Kussmaul Respirations In Ketoacidosis?

    Patient professional reference Professional Reference articles are written by UK doctors and are based on research evidence, UK and European Guidelines. They are designed for health professionals to use. You may find the Pre-diabetes (Impaired Glucose Tolerance) article more useful, or one of our other health articles. See also the separate Childhood Ketoacidosis article. Diabetic ketoacidosis (DKA) is a medical emergency with a significant morbi ...

    ketosis May 4, 2018
  • Why Do You Get Kussmaul Breathing In Dka?

    4 Evaluation 5 Management Defining features include hyperglycemia (glucose > 250mg/dl), acidosis (pH < 7.3), and ketonemia/ketonuria Leads to osmotic diuresis and depletion of electrolytes including sodium, magnesium, calcium and phosphorous. Further dehydration impairs glomerular filtration rate (GFR) and contributes to acute renal failure Due to lipolysis / accumulation of of ketoacids (represented by increased anion gap) Compensatory respirato ...

    ketosis Dec 30, 2017
  • What Causes Kussmaul Breathing In Dka?

    Nicholas J. White, in Manson's Tropical Infectious Diseases (Twenty-third Edition) , 2014 Hyperventilation or Kussmaul's breathing (sometimes termed respiratory distress) is a poor prognostic sign in malaria. In the tachypnoea associated with high fever, breathing is shallow compared with the ominous laboured hyperventilation associated with metabolic acidosis, pulmonary oedema or bronchopneumonia. Acute pulmonary oedema (acute respiratory distr ...

    ketosis Apr 26, 2018
  • Why There Is Kussmaul Breathing In Diabetes?

    What is Kussmaul Breathing? Kussmaul Breathing is the term given to a condition in which the patient builds up an extremely deep and difficult breathing pattern. This is seen mostly in individuals who are diabetic and have severe forms of metabolic acidosis, particularly diabetic ketoacidosis with kidney dysfunction. Kussmaul Breathing can likewise be clarified as a type of hyperventilation which is a condition in which an individual breathes in ...

    ketosis Dec 18, 2018
  • What Causes Kussmaul Respirations In Dka?

    "Diabetes update: Acute complications" CE credit is no longer available for this article. Originally posted April 2001 MARJORIE CYPRESS, MS, C-ANP, CDE MARJORIE CYPRESS is a nurse practitioner and certified diabetes educator for Lovelace Health Systems, Albuquerque, N.M. Series Editor: Carolyn Robertson, RN, MSN, CDE KEY WORDS: acute complications, hyperglycemia, hypoglycemia, diabetic ketoacidosis, hyperosmolar hyperglycemic state, ketosis Criti ...

    ketosis Feb 24, 2018
  • What Causes Cerebral Edema In Dka?

    Cerebral edema is excess accumulation of fluid in the intracellular or extracellular spaces of the brain . Certain changes in morphology are associated with cerebral edema: the brain becomes soft and smooth and overfills the cranial vault , gyri (ridges) become flattened, sulci (grooves) become narrowed, and ventricular cavities become compressed. Cerebral edema can result from brain trauma or from nontraumatic causes such as ischemic stroke , c ...

    ketosis Apr 27, 2018

More in ketosis